World Journal of Laparoscopic Surgery

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VOLUME 17 , ISSUE 1 ( January-April, 2024 ) > List of Articles


Co-existent Classical Maydl's and Amyand's Hernias: A Rare Case Report

Shashank Shah, Sushil Kumar Kharat, Elmutaz Abdalla Mekki Kanani, Adrian Gerard

Keywords : Amyand, Case report, Inguinal hernia, Laparoscopy, Maydl

Citation Information : Shah S, Kharat SK, Kanani EA, Gerard A. Co-existent Classical Maydl's and Amyand's Hernias: A Rare Case Report. World J Lap Surg 2024; 17 (1):52-54.

DOI: 10.5005/jp-journals-10033-1601

License: CC BY-NC 4.0

Published Online: 14-02-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Aim: The aim of this case report is to highlight the advantages of laparoscopy in the management of incarcerated, obstructed, and strangulated hernia. Background: Inguinal hernias account for three-quarters of all abdominal wall hernias. They may present as emergencies and require quick and accurate diagnosis followed by prompt management in order to prevent undesirable consequences. The surgeon has to select the appropriate treatment approach from limited options. In this case report we are aiming to solidify the laparoscopy as an additional weapon in the surgeon's armamentarium. Case description: This is a case of an unusual type of obstructed indirect inguinal hernia with impending strangulation. Diagnostic laparoscopy findings revealed a Maydl's hernia and an adherent inflamed appendix in a long-standing congenital inguinal indirect hernia. In addition to this, extensive small bowel adhesions were also seen. Conclusion: This case highlights the superiority of laparoscopy compared to clinical/image judgment in incarcerated, obstructed, or strangulated hernia.

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